cases, sinus Week 53: Case 6 April 26, 2023 pathadmin 1. Presented by William Westra, M.D. and prepared by Carol Allan, M.D.41 year old man with long history of recurrent chronic rhinosinusitis. Now found to have thick and tenacious nasal secretions on physical exam.Fungus ballAllergic fungal sinusitisFulminate invasive fungal sinusitisChronic (indolent) invasive fungal sinusitis 1. Presented by William Westra, M.D. and prepared by Carol Allan, M.D.41 year old man with long history of recurrent chronic rhinosinusitis. Now found to have thick and tenacious nasal secretions on physical exam.